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1174868897
MARCH LANE PEDIATRIC GROUP
STOCKTON, CA
NPI
1174868897
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Entity Type
Organization
Authorized Contact
ANGE MOUTTAPA
Physician
209-952-5555
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A25317)
Enumeration Date
2012-12-06
Last Update Date
2012-12-06
Business Address
MARCH LANE PEDIATRIC GROUP
73 W MARCH LN STE F
STOCKTON, CA 95207-5726
Phone number: 209-952-5555
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Mailing Address
MARCH LANE PEDIATRIC GROUP
73 W MARCH LN STE F
STOCKTON, CA 95207-5726
Phone number: 209-952-5555
Copy
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